Ungashamisika kuziva kuti kune mabhakitiriya akawanda ari mumiviri yedu. Ichokwadi. Mabhakitiriya aya anogara munzvimbo dzakadai sematumbu edu uye masisitimu ekubereka. Mazhinji acho anoita zvinhu zvakanaka, zvakaita sekutibatsira kugaya chikafu chatinodya uye kukanganisa mafungiro edu. Asi dzimwe nguva, mamwe emabhakitiriya aya anogona kutikonzera matambudziko makuru. Nhasi tichataura nezveimwe mhando yemabhakitiriya akadaro.
Chii chinonzi Enterococci?
Zvichitaurwa zviri nyore, enterococci iboka remabhakitiriya anowanzogara muura hwedu. Kutaura zvazviri, anogona kuwanikwa muura hwemhuka dzinenge dzese panyika. Kunyangwe paine marudzi anopfuura gumi nemanomwe muboka iri, marudzi mashoma chete ndiwo anokonzera hutachiona muvanhu. Paari, maviri makuru ndeaya:
- Enterococcus faecalis (E. faecalis)
- Enterococcus faecium (E. faecium)
Dambudziko guru rehutachiona hwemabhakitiriya aya nderekuti hwakaoma kurapa. Chikonzero ndechekuti mabhakitiriya aya haagone kuurayiwa nyore nyore nemishonga inorwisa mabhakitiriya . Nemamwe mashoko, haapindi mishonga zvakanyanya .
Utachiona uhwu hunoitika sei?
Rudzi rwehutachiona hwe enterococcal hunonyanya kuwanikwa muvanhu hunokonzerwa nebhakitiriya rinonzi Enterococcus faecalis. Utachiona uhwu hwakasiyana nekuti hunogona kurarama mumamiriro akasiyana-siyana ekunze, kusanganisira kupisa kwakanyanya uye kutonhora. Kuwedzera muura hwedu, uturu uhwu hunogonawo kugara mumuromo medu nemunhengo dzevakadzi.
Nekuda kwehunyanzvi hwebhakitiriya iyi, mishonga yakawanda inorwisa utachiona haishande pakurwisa hutachiona uhwu. Semuenzaniso, bhakitiriya iyi inogona kuramba mishonga yakawanda inorwisa utachiona inotevera:
| Kirasi yemishonga inorwisa mabhakitiriya | Mienzaniso |
|---|---|
| Mishonga yePenicillin | Penicillin, Ampicillin, Amoxicillin |
| Cephalosporins | Inodzivirira cephalosporin zhinji. |
| Glycopeptides | Vancomycin (inozivikanwawo seVancomycin-Resistant Enterococci - VRE) |
Ndezvipi zvinetso zvehutano zvinogona kukonzerwa neEnterococci?
Utachiona hwemabhakitiriya uhwu hunonyanya kuonekwa muzvipatara. Zvichienderana nehuwandu, kunyanya munyika dzakadai seUnited States, huwandu hwakawanda hwehutachiona hwemunzira yeweti , hutachiona hwemaronda , hutachiona hweropa, uye hutachiona hwemwoyo hunotaurwa gore rega rega nekuda kwehutachiona uhwu. Ngatitarisei hutachiona hwega hwega uhwu.
| Rudzi rwehutachiona | Tsananguro nezviratidzo |
|---|---|
| Utachiona hweWeti (UTIs) | Utachiona chero kupi zvako mumuviri wako weti (itsvo, dundira, urethra). Vakadzi vari panjodzi huru. Zviratidzo: - Kuda kuita weti kakawanda - Kupisa uye kurwadziwa kana uchiita weti – Weti ine makore, tsvuku, pingi, kana kuti rima - Marwadzo emudumbu repazasi |
| Utachiona hweMaronda | Kutapukirwa kwemavanga, mavanga, kurumwa nemhuka, maronda akakwenywa, nezvimwewo zvinogona kuitika mukati memaawa makumi maviri nemana kusvika makumi manomwe nemaviri. Zviratidzo: – Urwa huri kubuda kubva paronda – Kuparadzira kutsvuka kwakatenderedza ronda - Kuwedzera kwekurwadziwa nekuzvimba - Kupindwa nechando – Ma lymph nodes akazvimba |
| Mabhakitiriya anopinda muropa (Bacteremia) | Utachiona huri mumuviri (semuenzaniso hutachiona hwemunzira yeweti) hunopararira muropa. Ichi chirwere chine njodzi zvikuru. Zviratidzo: - Fivha nechando - Kusvotwa, kurutsa - Kutadza kufema, kurova kwemoyo nekukurumidza - Kuvhiringidzika kana kurasikirwa nepfungwa |
| Utachiona hwevharuvhu yemoyo (Endocarditis) | Mabhakitiriya anopararira neropa anogona kunamira pamadziro emwoyo nepamavharuvhu emwoyo, zvichikonzera hutachiona. Ichi chirwere chakakombawo . Zviratidzo: – Zviratidzo zvechikosoro kana furuu, zvakaita sefivha, kurwadziwa kwemuviri, uye kudikitira husiku - Kunyunyuta kwemoyo mutsva – Mapundu madiki pamaoko kana patsoka |
Utachiona uhwu hunopararira sei?
Utachiona hweE. faecalis hunowanzopararira muzvipatara. Chikonzero chikuru cheizvi ndechekuti varwere vari muchipatara vane masoja ekudzivirira muviri asina simba .
Kazhinji, hutachiona uhu hunotapuriranwa nevashandi vechipatara. Humwe hwacho hunogona kugara muura hwavo husingakonzere zviratidzo. Zvakare, hutachiona uhu hunogona kupararira kuvarwere kuburikidza nemimwe michina yekurapa inoshandiswa muzvipatara.
Ndosaka zvichikosha zvikuru kuti zvipatara zvitevedzere kuchena, kucheneswa kwehutachiona, uye nzira dzekuuraya utachiona. Muzvipatara umo nzira dzakadaro dzinoitwa zvakanaka, njodzi yekupararira kwehutachiona hwakadaro yakaderera zvikuru.
Utachiona uhwu hunorapwa sei?
Sezvatakambotaura, kurapa hutachiona hunokonzerwa neE. faecalis kwakaoma nekuti hutachiona uhwu hunoramba mishonga yakawanda inorwisa mabhakitiriya.
Saka, vanachiremba vanowanzo rapa nemusanganiswa wemhando mbiri dzemishonga. Semuenzaniso, mushonga unokanganisa madziro emasero ebhakitiriya (semuenzaniso, penicillin, ampicillin, vancomycin) unopihwa pamwe chete neaminoglycoside (semuenzaniso, gentamicin, streptomycin).
Zvisinei, zvirwere zvakakomba, zvakaita sezvirwere zveganda uye zvirwere zvevharuvhu yemwoyo (endocarditis), zvinogona kuda musanganiswa wemishonga yakasiyana. Zvisinei, zvirwere zvakaita sezvirwere zvemunzira yeweti (UTIs) zviri nyore kurapa. Mushonga mumwe chete unorwisa mabhakitiriya, wakadai seampicillin, unogona kukwana.
Chinhu chakakosha ndechekuti nekuti izvi zvirwere zvakakomba, kana uine zviratidzo zvakaita seizvi, kunyanya mushure mekuendeswa kuchipatara, unofanira kuona chiremba wako nekukasika.Usamboedza kuzvirapa wega. Kurapwa kunofanira kusarudzwa nachiremba chete mushure mekuongororwa kwemamiriro ako ezvinhu.
Mharidzo Yekuenda Nayo Kumba
- Enterococci rudzi rwebhakitiriya rinowanzogara muura hwedu, asi mune dzimwe nguva rinogona kukonzera hutachiona hwakakomba.
- Utachiona uhwu hunowanzoonekwa muvarwere vari muchipatara uye hunonetsa kurapa nekuti hahuna mushonga unorwisa mabhakitiriya akawanda.
- Zvirwere zvakasiyana-siyana zvinogona kuitika, kubva kuzvirwere zvemudumbu uye zvirwere zvemaronda kusvika kuzvirwere zveropa nemwoyo zvinotyisidzira hupenyu (`Bacteremia`, `Endocarditis`).
- Kutevedzera mitemo yehutsanana muzvipatara kwakakosha zvikuru kudzivirira hutachiona uhu.
- Kana uine zviratidzo zvakaita sefivha, hutachiona hwemaronda, kana hutachiona hwenzira yeweti, kunyanya mushure mekubuda muchipatara, tsvaga rubatsiro rwechiremba nekukurumidza.
Enterococci, Enterococcus faecalis, hutachiona hwebhakitiriya, hutachiona hwemuchipatara, kusakwanisa kurwisa mishonga inorwisa mabhakitiriya, hutachiona hwemunzira yeweti, hutachiona hwemaronda
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